| La Casa Family Health Center | |
|
1515 W Fir Portales NM 88130 | |
| (505) 356-6695 | |
| (505) 356-5948 |
| Full Name | La Casa Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 W Fir, Portales, New Mexico |
| Authorized Official Name and Position | Seferino Montano (CEO) |
| Authorized Official Contact | 5053566695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa Family Health Center Po Box 843 Portales NM 88130 Ph: (505) 356-6695 | La Casa Family Health Center 1515 W Fir Portales NM 88130 Ph: (505) 356-6695 |
| NPI Number | 1972603165 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 07/30/2008 |
| Medicare PECOS PAC ID | 9234032939 |
|---|---|
| Medicare Enrollment ID | O20040129001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972603165 | NPI | - | NPPES |
| 48033 | Medicaid | NM |
| Provider Name | Seyed H Nazirpour-caloor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124070255 PECOS PAC ID: 4486645934 Enrollment ID: I20040521001289 |
| Provider Name | Guadalupe Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598756264 PECOS PAC ID: 1951365360 Enrollment ID: I20041116000455 |
| Provider Name | Sherri L Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508966367 PECOS PAC ID: 8729156898 Enrollment ID: I20081003000173 |
| Provider Name | Johanna C Pettrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265413447 PECOS PAC ID: 9436208972 Enrollment ID: I20090513000022 |
| Provider Name | Maxsimo C Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932190675 PECOS PAC ID: 5698890291 Enrollment ID: I20100920001022 |
| Provider Name | Chandra Sekhar Yangalasetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740449396 PECOS PAC ID: 6608922075 Enrollment ID: I20111028000450 |
| Provider Name | Ninad P Shet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346521218 PECOS PAC ID: 9638391212 Enrollment ID: I20141114001715 |
| Provider Name | Esther D Verzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416082 PECOS PAC ID: 5294037347 Enrollment ID: I20160106000652 |
| Provider Name | Carolyn Vavrecan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174953947 PECOS PAC ID: 3870719636 Enrollment ID: I20170518002535 |
| Provider Name | Giddel G A Thom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700078375 PECOS PAC ID: 2163516816 Enrollment ID: I20180509000637 |
| Provider Name | Leticia Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023580073 PECOS PAC ID: 4385983105 Enrollment ID: I20190221002864 |
| Provider Name | Misty Renee Sturtevant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255985693 PECOS PAC ID: 0941687248 Enrollment ID: I20220505002506 |
| Provider Name | Elizabeth Macias, |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811236185 PECOS PAC ID: 4385021039 Enrollment ID: I20220518001274 |
| Provider Name | Elizabeth M Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497737316 PECOS PAC ID: 1658285184 Enrollment ID: I20230727001016 |
| Provider Name | Luis Guillermo Beverido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699194985 PECOS PAC ID: 4183082480 Enrollment ID: I20240416002864 |
Enmu Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 S Avenue K, Portales, NM 88130 Phone: 972-367-4845 Fax: 972-367-3451 | |
Rgh Internal Medicine Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-359-1800 Fax: 575-356-9200 | |
Eastern Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Sievers Sports Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 S Main Ave, Portales, NM 88130 Phone: 575-226-3023 Fax: 575-226-3024 | |
Portales Quick Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 S Ave C, Ste D, Portales, NM 88130 Phone: 575-226-2273 Fax: 575-226-2378 | |
Portales Medical Clinic Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Avenue A, Portales, NM 88130 Phone: 505-356-4643 Fax: 505-359-6856 |